Staging

WhitmoreJewett Description, TNM
A1 Nonpalpable, less than 5% of resected TUR with cancer , T1a
A2 Nonpalpable, greater than 5% resected TUR with cancer, T1b
B1 Palpable, half of l lobe or less, T2a
B1 Palpable, greater than half of 1 lobe, T2b
B2 Palpable, involves both lobes, T2c
C1 Extends out one side of capsule, T3a
C2 Extends out both sides of capsule, T3b
C2 Tumor invades seminal vesicles, T3c
D1 Tumor in regional lymph nodes, T4a
D2 Tumor in distant lymph nodes, bones, organs, T4b
D3 Cancer that has recurred after endocrine therapy, T4c
To each of the TNM stages above may be added an N,M, or G. The N is for
lymph nodes. NX means that the lymph nodes cannot be assessed. N0 means the
lymph nodes are not involved. N1 is a single lymph node, 2 cm or less. N2 means metastasis in
a single lymph node greater than 2 cm or multiple lymph nodes with sum greater
than 2 cm. N3 indicates lymph with greater than 5 cm metastasis.
M is for metastasis. MX means that distant metastasis cannot be assessed. MO
means no distant metastasis, M1a is nonregional lymph nodes, M1b is bone
metastasis, M1c is other sites.